2011-05-11T10:13:54-05:00 2010-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2009-07-01 310833936 Children's Hospital Medical Center CHIL 5136368778 3333 BURNET AVENUE CINCINNATI OH 452293039 SCOTT J HAMLIN 5136368778 2011-05-11 1 5137847100 2009 2016-02-24 21:20:13Z MICHAEL A FISHER 3333 BURNET AVENUE CINCINNATI OH 452293039 1591648571 0 X WWW.CINCINNATICHILDRENS.ORG X 1883 OH PROVISION OF PEDIATRIC HEALTHCARE TO PATIENTS. 35 29 13082 601 59015435 -13231521 189702017 213838287 1168540621 1240716898 3710471 9689378 99121880 126153894 1461074989 1590398457 0 0 840248395 932128826 45305 8065 3763821 568237467 579938360 1408531167 1512075251 52543822 78323206 2099231537 2189842873 984742128 993595668 1114489409 1196247205 CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER WILL BE THE LEADER IN IMPROVING CHILD HEALTH. CCHMC WILL IMPROVE CHILD HEALTH AND TRANSFORM DELIVERY OF CARE THROUGH FULLY INTEGRATED, GLOBALLY RECOGNIZED RESEARCH, EDUCATION, AND INNOVATION. FOR PATIENTS AND OUR COMMUNITY, THE NATION AND THE WORLD, THE CARE WE PROVIDE WILL ACHIEVE THE BEST MEDICAL AND QUALITY OF LIFE OUTCOMES, PATIENT AND FAMILY EXPERIENCES, AND VALUE, TODAY AND IN THE FUTURE. 0 0 1326849322 0 1207167056 CINCINNATI Children's Hospital Medical Center ("Cincinnati Children's"), located in Cincinnati, Ohio, is a private, not-for-profit IRC SEC. 501(c)(3) corporation THAT owns and operates a comprehensive medical center that includes one of the nation's largest pediatric tertiary care facilities with complete pediatric research operations and extensive pediatric teaching programs. See Schedule O for a complete overview of Cincinnati Children's Community Benefits and Program Service Accomplishments. 1326849322 1 1 0 1 0 0 0 0 1 1 0 1 0 1 1 0 0 1 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 1 750 0 1 13082 1 1 1 1 BD 0 0 0 1 1 0 0 0 35 29 1 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LAURA C NIXON 5136368778 3333 BURNET AVENUE CINCINNATI OH 452293039 THOMAS G CODY 4.00 X X 0 0 0 SHARRY ADDISON 1.00 X 0 0 0 ROBERT DH ANNING 4.00 X 0 0 0 CAROL ARMSTRONG 1.00 X 0 0 0 LYNWOOD BATTLE 1.00 X 0 0 0 MICHAEL S CAMBRON 4.00 X 0 0 0 WILLIE F CARDEN JR 1.00 X 0 0 0 LEE A CARTER 4.00 X 0 0 0 KATHARINE DEWITT 1.00 X 0 0 0 TODD M DUNCAN 1.00 X 0 0 0 NANCY KRIEGER EDDY PHD 4.00 X 0 0 0 MICHAEL FISHER - CEO 40.00 X X 65907 0 24061 BARBARA FITCH 4.00 X 0 0 0 VALLIE GEIER 1.00 X 0 0 0 LOUIS D GEORGE 1.00 X 0 0 0 CAMILLE C GRAHAM MD 1.00 X 0 0 0 DEBORAH A HENRETTA 1.00 X 0 0 0 MICHAEL HIRSCHFELD ESQ 4.00 X 0 0 0 JOYCE J KEESHIN 4.00 X 0 0 0 M DENISE KUPRIONIS 4.00 X 0 0 0 PEGGY MATHILE 4.00 X 0 0 0 MANUEL D MAYERSON 1.00 X 0 0 0 MARDIE OFF 1.00 X 0 0 0 GEOFFREY PLACE 1.00 X 0 0 0 JANE PORTMAN 4.00 X 0 0 0 JOHN SAWYER 1.00 X 0 0 0 WILLIAM K SCHUBERT MD 20.00 X 25000 0 0 JOHN STEINMAN 1.00 X 0 0 0 PAMELA TERP 1.00 X 0 0 0 FELICIA WILLIAMS 4.00 X 0 0 0 JOHN P ZANOTTI 1.00 X 0 0 0 JAMES ANDERSON - CEO 40.00 X X 1855579 0 39203 RICHARD AZIZKHAN MD 40.00 X 1221114 0 211176 ARNOLD STRAUSS MD 40.00 X 707595 0 148798 THOMAS F BOAT MD 40.00 X 272191 0 32955 SCOTT HAMLIN 40.00 X 779336 0 150718 DIANE WHITE 40.00 X 81035 0 15636 DEAN KURTH 40.00 X 822166 0 143257 CHARLES MYER III 40.00 X 968316 0 24860 CHARLES MEHLMAN 40.00 X 883681 0 46316 JEFF ROBBINS 40.00 X 884181 0 45282 erIC WALL 40.00 X 1002368 0 49464 9568469 0 931726 1144 0 1 0 TRIVERSITY GROUP LLC 5158 FISHWICK DRIVE CINCINNATI OH 45216 CONSTRUCTION SERVICES 27783570 AL NEYER LLC 302 W 3RD STREET SUITE 800 CINCINNATI OH 45202 CONSTRUCTION SERVICES 26610785 SODEXHO INC 1400 LINDEN AVENUE DAYTON OH 45410 ENVIRONMENTAL AND FOOD SERVICES 10476226 POMEROY IT SOLUTIONS 1020 PETERSBURG ROAD HEBRON KY 41048 IT CONSULTING 8303121 EPIC 1979 MILKY WAY VERONA WI 53593 IT CONSULTING 4999275 109 1161461 80191198 132485628 334203 213838287 INPAT HOSP SERV (NET) 621990 544415494 544415494 OUTPAT HOSP SERV (NET) 621990 481994404 426044492 55949912 PHYSICIAN SERVICES 621990 214307000 214307000 1240716898 9850000 -770081 10620081 1399698 1399698 1399698 291307 1108391 663175 823797 -160622 -160622 -160622 187398 1161461 426317 -238919 -238919 GME FUNDING 611710 11762959 11762959 SVCS TO AFFIL HOSP 621990 10637111 10637111 CAFETERIA RECEIPTS 722210 7447225 7447225 95145820 3544297 91601523 124993115 1590398457 1207167056 59015435 110377679 10500195 10500195 740442 740442 713387958 626916836 83466391 3004731 53256506 47025495 6231011 105086513 92791391 12295122 49157212 43405818 5751394 889654 785564 104090 805053 710862 94191 493105 435412 57693 8065 8065 2153439 1746422 251952 155065 152242737 134341228 17812400 89109 6863760 6060700 803060 6882219 6024008 805220 52991 10328340 9119924 1208416 15729237 13888916 1840321 105078555 92784364 12294191 12240496 10808358 1432138 PURCHASED SERVICES 161412885 142407620 18885308 119957 BAD DEBT EXPENSE 39613627 39613627 UTILITIES 17449247 15407685 2041562 dietARY 6146813 5427636 719177 DUES AND SUBSCRIPTIONS 4657106 4112225 544881 36952087 32294789 4323395 333903 1512075251 1326849322 181462108 3763821 98776928 85270000 312234000 299722000 13767969 14448398 4254041 5023391 1567864570 721735103 838907073 846129467 118923787 174495933 712367739 764753684 2099231537 2189842873 206701454 195112939 498095349 485807890 5331263 3727626 274614062 308947213 984742128 993595668 X 380085905 388821037 113838257 129441168 620565247 677985000 1114489409 1196247205 2099231537 2189842873 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 1 148000 1 378245 0 0 526245 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: WHILE CHILDREN'S HOSPITAL MEDICAL CENTER DOES NOT SPEND A SUBSTANTIAL AMOUNT OF RESOURCES OR TIME PARTICIPATING IN LOBBYING ACTIVITIES, CHMC DOES PAY MEMBERSHIP DUES TO PROFESSIONAL ORGANIZATIONS WHO, AMONG THEIR MANY RESPONSIBILITIES, DO PERFORM CERTAIN LOBBYING ACTIVITIES ON BEHALF OF THEIR MEMBER ORGANIZATIONS. CHMC HAS WRITTEN THESE ORGANIZATIONS TO DETERMINE THE PORTION OF THEIR OPERATING BUDGETS WHICH ARE DEDICATED TO SUCH LOBBYING ACTIVITIES. USING THEIR RESPONSES, CHMC HAS DETERMINED THE PORTION OF CHMC'S MEMBERSHIP DUES WHICH ARE APPLICABLE TO THEIR LOBBYING ACTIVITIES. BELOW IS A COMPLETE LISTING OF THESE PROFESSIONAL ORGANIZATIONS: 1. AMERICAN HOSPITAL ASSOCIATION - $13,281 2. OHIO HOSPITAL ASSOCIATION - $4,780 3. NATIONAL ASSOC. OF CHILDREN'S HOSPITALS AND RELATED ORGS. - $92,843 4. ASSOCIATION OF OHIO CHILDREN'S HOSPITALS - $36,433 5. ASSOCIATION OF AMERICAN MEDICAL COLLEGES - $663 CHMC ALSO MAINTAINS A GOVERNMENT RELATIONS OFFICE WHICH IS FOCUSED ON IMPROVING AND EXPANDING INTERACTIONS WITH LOCAL, STATE, AND FEDERAL GOVERNMENT APPOINTED AND ELECTED OFFICIALS ON BEHALF OF CHILD HEALTH, REIMBURSEMENT, AND GRANT/FUNDING ISSUES. DURING FISCAL YEAR 2010, CHMC'S GOVERNMENT RELATIONS OFFICE INCURRED $378,245 IN EXPENSES RELATED TO VARIOUS LOBBYING ACTIVITIES. CERTAIN MEMBERS OF CHMC'S BOARD OF TRUSTEES, SENIOR MANAGEMENT, AND FACULTY MEET WITH AND EDUCATE LOCAL, STATE, AND FEDERAL GOVERNMENT APPOINTED AND ELECTED OFFICIALS ON BEHALF OF CHILD HEALTH, REIMBURSEMENT, AND GRANT/FUNDING ISSUES. LOBBYING EXPENSES INCURRED BY THESE INDIVIDUALS MAY BE REIMBURSED BY CHMC CONSISTENT WITH ITS TRAVEL AND BUSINESS EXPENSE REIMBURSEMENT GUIDELINES. FURTHERMORE, THE VALUE OF THEIR TIME SPENT PERFORMING LOBBYING ACTIVITIES IS NOT QUANTIFIABLE. 734403257 235362911 58394000 143011000 77723000 807426168 935791845 174839253 -199115594 128282000 48829753 734403751 1.00000 0 0 30473000 30473000 923495000 344722510 578772490 573273000 371240631 202032369 40623570 5771962 34851608 846129467 INVESTMENT IN SUBSIDIARY (RIVER CITY INSURANCE, LTD.) 120000 OTHER LONG-TERM ASSETS 67669688 INTEREST IN NET ASSETS OF SUPPORTING ORGANIZATIONS 691395312 ASSETS LIMITED TO USE - FUNDS IN TRUST 5568684 764753684 SELF INSURANCE RESERVES 24292204 MINIMUM PENSION LIABILITY ACCRUAL 275842179 OTHER LONG-TERM LIABILITIES 8812830 308947213 Part V, Line 4: Description of Intended Use of Endowment Funds: CHMC'S ENDOWMENT FUNDS ARE UTILIZED TO SUPPORT THE OPERATIONS OF VARIOUS DEPARTMENTS AT CHMC IN FURTHERANCE OF CHMC'S PRIMARY TAX-EXEMPT PURPOSES OF PATIENT CARE, EDUCATION, AND RESEARCH. Part X: Description of Uncertain Tax Positions Under FIN 48: IN JULY 2006, THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ISSUED ACCOUNTING STANDARDS CODIFICATION TOPIC ("ASC") 740 "INCOME TAXES", WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. ASC 740 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, AND ADDITIONAL DISCLOSURES. CINCINNATI CHILDREN'S ADOPTED THE PROVISIONS OF ASC 740 ON JULY 1, 2007. THE ADOPTION OF ASC 740 DID NOT HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. IT IS THE POLICY OF CINCINNATI CHILDREN'S TO CLASSIFY THE EXPENSE RELATED TO INTEREST AND PENALTIES, IF ANY, TO BE PAID ON UNDERPAYMENTS OF INCOME TAXES WITHIN OTHER EXPENSES. THERE WERE NO PENALTIES OR INTEREST ACCRUED IN FISCAL YEAR 2010 OR 2009. LISTED BELOW ARE THE TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTION: FEDERAL - 2007 TO 2010 STATE - 2007 TO 2010 CENTRAL AMERICA & THE CARIBBEAN 0 1 PROGRAM SERVICES OFFSHORE CAPTIVE MANAGEMENT 1058189 0 1 1058189 X X X X X X X 1 BENTZ WHALEY FLESSNER CONSULTING 0 0 8065 0 8065 OH KY IN FL WALK FOR KIDS 617000 616490 510 0 25880 0 124692 CELESTIAL BALL 408777 338677 70100 0 0 8500 155620 7 323082 206294 116788 0 10881 0 100744 1348859 1161461 187398 36761 8500 381056 426317 -238919 1 1 X 1 X 1 X 1 1 1 0 1 1 14676000 6000000 8676000 0.00590 467635158 312846343 154788815 0.10510 482311158 318846343 163464815 0.11100 7758097 4788557 2969540 0.00200 64734116 21882840 42851276 0.02910 46073000 36574000 9499000 0.00650 231479000 74929000 156550000 0.10630 418740 0 418740 0.00030 350462953 138174397 212288556 0.14420 832774111 457020740 375753371 0.25520 878520 38500 840020 0.00060 25 25 425868 0 425868 0.00030 1304413 38525 1265888 0.00090 0 21811263 5365571 7827912 7319299 508613 X 1 1 CHMC - MAIN CAMPUS

3333 BURNET AVE CINCINNATI OH 45229

X X X X X X CHMC - LIBERTY CAMPUS

7777 YANKEE ROAD LIBERTY TOWNSHIP OH 45044

X X X X X chmc - COLLEGE HILL CAMPUS

5642 HAMILTON AVE CINCINNATI OH 45224

X X X Part I, Line 7: CINCINNATI CHILDREN'S UTILIZES THE COST TO CHARGE RATIOS FROM THE MOST RECENTLY FILED COST REPORTS TO CALCULATE THE AMOUNTS REPORTED ON SCHEDULE H, PART I, LINE 7. Part I, Line 7f: THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM THE CALCULATION ON SCHEDULE H, PART I, LINE 7, COLUMN (F) IS $39,613,627. THIS AMOUNT IS ALSO REPORTED ON FORM 990, PART IX, LINE 24(B). Part III, Line 4: Uncollectible amounts from patients who do not meet the criteria under Cincinnati Children's charity care policy is considered bad debt and is included as operating expenses in the financial statements. The cost of bad debt is calculated using cost to charge ratios calculated from the most recently filed cost report. Part III, Line 8: CINCINNATI CHILDREN'S UTILIZES ITS COST ACCOUNTING SYSTEM TO CALCULATE THE COST OF PROVIDING CARE TO MEDICARE PATIENTS. Part III, Line 9b: Cincinnati Children's HAS A POLICY THAT ONCE IT HAS BEEN DETERMINED THAT A FAMILY QUALIFIES FOR 100% ASSISTANCE, ALL COLLECTIONS ACTIVITIES ON THAT PATIENT CEASE. Cincinnati Children's STAFF WORK WITH THE FAMILY ON obtaining FINANCIAL ASSISTANCE. Part V: IN ADDITION TO THE THREE HEALTH CARE FACILITIES LISTED ON SCHEDULE H, PART V, CINCINNATI CHILDREN'S OPERATES 11 NEIGHBORHOOD FACILITIES WITHIN ITS PRIMARY SERVICE AREA. THE NEIGHBORHOOD FACILITIES PROVIDE A WIDE RANGE OF PATIENT CARE SERVICES INCLUDING DIAGNOSTIC TESTING, PEDIATRIC SPECIALTY CLINICS, THERAPIES AND DENTAL SERVICES. Part VI, Line 2: Cincinnati Children's has performed community assessments related to specific diseases, child development issues, and health disparities. Cincinnati Children's has also conducted community-based general health assessments in targeted neighborhoods within ITS primary service area and has participated in broader community based research and health needs assessments with several of Cincinnati Children's local community partners. The Child Policy Research Center and Innovations program at Cincinnati Children's perform research and conduct assessments related to major child health issues in the community including childhood obesity, infant mortality, and the overall health of minority communities. The results of the research and assessments are then used to guide public policy, direct resources, and improve the quality of patient care and the delivery of services. Part VI, Line 3: Cincinnati Children's patient billing statements, website, and financial brochures contain information about its charity and financial assistance programs with directions on how to CONTACT Cincinnati Children's to initiate an application or ask questions about the process. In addition, Cincinnati Children's brochures are available at each registration point and Cincinnati Children's Customer Service Contact Center is trained to work with the families on answering assistance related questions as well. Cincinnati Children's ALSO HAS a Financial Counseling Department and a Financial Advocate Program THAT REACH out to indigent families and try to help with their specific needs. Cincinnati Children's goal is to provide financial assistance as efficiently and as compliant as possible while still keeping customer service as our number one priority. Part VI, Line 4: In accordance with its mission and purpose, Cincinnati Children's maintains a policy of accepting all patients within its primary service area regardless of ability to pay. This primary service area has been defined to include the four counties in Ohio, three counties in Kentucky and one county in Indiana that geographically surround Cincinnati. Part VI, Line 5: The primary focus of community building activities at Cincinnati Children's is to improve the health of children in the community and improve access to quality healthcare services. The secondary focus of community building activities at Cincinnati Children's seeks to meet unmet social needs, in targeted areas of the community, that often negatively impact the quality of life for children and contribute to poor health. EXAMPLES INCLUDE HOUSING, EMPLOYMENT, PUBLIC SAFETY, ECONOMIC DEVELOPMENT AND EDUCATION.Cincinnati Children's health centered community benefit activities focus in large measure on asthma, infant mortality, injury, obesity, access to care, and health disparities. Research has proven that all of these health issues are dramatically impacted by poverty and other social dynamics.Cincinnati Children's secondary level of community benefit activities focuses on revitalizing neighborhoods, filling the SUPPORT gapS THAT CURRENTLY EXIST IN local schools, and providing financial support for community partners who share CINCINNATI CHILDREN'S vision TO improvE child health and the quality of life for children and family.All of Cincinnati Children's community building activities meet at least one of the following community benefit objectives: * Improve health services* Enhance public health* Advance generalizable knowledge* Relieve a government burden X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 JAMES ANDERSON - CEO & 773292 0 687209 0 395078 0 24500 0 14703 0 1894782 0 188987 0 RICHARD AZIZKHAN MD 735782 0 240035 0 245297 0 208146 0 3030 0 1432290 0 173763 0 ARNOLD STRAUSS MD 513800 0 174928 0 18867 0 124822 0 23976 0 856393 0 0 0 THOMAS F BOAT MD 208242 0 0 0 63949 0 24500 0 8455 0 305146 0 0 0 SCOTT HAMLIN 506025 0 146538 0 126773 0 128518 0 22200 0 930054 0 81201 0 DEAN KURTH 522872 0 191751 0 107543 0 126922 0 16335 0 965423 0 63035 0 CHARLES MYER III 765450 0 183656 0 19210 0 24500 0 360 0 993176 0 0 0 CHARLES MEHLMAN 673008 0 178303 0 32370 0 24500 0 21816 0 929997 0 0 0 JEFF ROBBINS 412565 0 0 0 471616 0 24500 0 20782 0 929463 0 0 0 erIC WALL 765825 0 201433 0 35110 0 30000 0 19464 0 1051832 0 0 0 Part I, Line 1a TAX-INDEMNIFICATION AND GROSS-UP PAYMENTS SUPPLEMENTAL LIFE INSURANCE: CINCINNATI CHILDREN'S has provided an arrangement for certain employees to participate in a supplemental life insurance program that provides the employee with additional term life insurance coverage on an annual basis. DURING CALENDAR YEAR 2009, an employee that participateD in THE life insurance program receiveD a payment from CINCINNATI CHILDREN'S that, after taxes WERE withheld, equalED the annual premium for the term life insurance coverage. THE PAYMENT FOR SUPPLEMENTAL LIFE INSURANCE DESCRIBED ABOVE WAS DISCONTINUED BY CINCINNATI CHILDREN'S AS OF JANUARY 1, 2010. Part I, Line 4a CERTAIN OFFICERS AND KEY EMPLOYEES HAVE ARRANGEMENTS WHICH PROVIDE FOR SUPPLEMENTAL RETIREMENT BENEFITS AS DESCRIBED IN IRC SEC. 457(F). DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THESE ARRANGEMENTS ARE NON-VESTED AND THERE IS NO GUARANTEE THAT THESE OFFICERS AND FACULTY MEMBERS WILL EVER RECEIVE THESE BENEFITS. THE FOLLOWING IS A LISTING OF OFFICERS AND KEY EMPLOYEES THAT RECEIVED A DEFERRAL, SUBJECT TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, UNDER CINCINNATI CHILDREN'S IRC SEC. 457(F) PLAN DURING THE YEAR (THESE AMOUNTS ARE INCLUDED IN THE TOTALS FOR SCHEDULE J, PART II, COLUMN C, DEFERRED COMPENSATION): 1. RICHARD AZIZKHAN - $183,646 2. SCOTT HAMLIN - $104,018 3. DEAN KURTH - $102,422 4. ARNOLD STRAUSS - $100,322 5. ERIC WALL - $5,500 THE FOLLOWING IS A LISTING OF OFFICERS AND KEY EMPLOYEES THAT RECEIVED A PAYMENT UNDER CINCINNATI CHILDREN'S IRC SEC. 457(F) PLAN DURING THE YEAR (THESE AMOUNTS ARE INCLUDED IN THE TOTALS FOR SCHEDULE J, PART II, COLUMN B(III) AND COLUMN F): 1. JAMES ANDERSON - $188,987 2. RICHARD AZIZKHAN - $173,763 3. SCOTT HAMLIN - $81,201 4. DEAN KURTH - $63,035 Supplemental Information Part III Explanation of Benefits: The employee benefit plan contribution amountS LISTED ON SCHEDULE J, PART II may include one or more of the following benefits: 1. Elective employee deferrals under IRC Sec. 403(b) 2. Discretionary employer contributions under IRC Sec. 403(b) 3. Elective employee deferrals under IRC Sec. 457(b) 4. Elective employee deferrals under IRC Sec. 457(f) In addition to the retirement plan contributions disclosed on FORM 990, PART VII AND SCHEDULE J, PART II, the following non-taxable employee welfare benefits were made available to the employed, compensated officers AND KEY EMPLOYEES listed on FORM 990, PART VII AND SCHEDULE J, PART II: 1. Health AND DENTAL insurance benefits 2. Group life insurance (portions of which are taxed) 3. Unemployment benefits 4. Disability benefits The officers AND KEY EMPLOYEES listed on FORM 990, PART VII AND SCHEDULE J, PART II are also eligible for any other available employee benefits. JAMES ANDERSON ALSO HAS AN OPTION AGREEMENT THAT BECAME FULLY VESTED DURING THE FISCAL YEAR ENDED JUNE 30, 2002. THE OPTION IS NOT EXERCISABLE UNTIL A FUTURE YEAR OR FUTURE EVENT. THEREFORE, THE OPTION HAS NO READILY ASCERTAINABLE FAIR MARKET VALUE PURSUANT TO IRC SEC. 83(E)(3). CHMC'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J MAY Incur various travel and entertainment expenses in the conduct of their official duties as representatives of the organization. CHMC has a written travel and entertainment expense reimbursement policy that complies with published IRS guidance. All OFFICERS, TRUSTEES, AND KEY EMPLOYEES are required To substantiate each travel and entertainment expense to the extent as stated in the travel and entertainment expense reimbursement policy. Beyond the officers AND KEY EMPLOYEES listed on SCHEDULE J, PART II, CINCINNATI CHILDREN'S is governed by a board of trustees who are neither compensated for their services provided nor Do they receive any fringe benefits (other than free parking) from CINCINNATI CHILDREN'S. Please see FORM 990, PART VII for a listing of these trustees. DURING THE FISCAL YEAR ENDED JUNE 30, 2010, JAMES ANDERSON WAS PRESIDENT AND CEO OF CHMC THROUGH DECEMBER 31, 2009. MICHAEL FISHER WAS HIRED BY CHMC ON NOVEMBER 8, 2009 TO BECOME THE NEXT PRESIDENT AND CEO OF CHMC. THE CALENDAR YEAR 2009 COMPENSATION REPORTED ON THIS RETURN FOR MICHAEL FISHER REPRESENTS COMPENSATION PAID TO MICHAEL FISHER BY CHMC DURING THE TRANSITION PERIOD FROM NOVEMBER 8, 2009 TO DECEMBER 31, 2009. ON JANUARY 1, 2010, MICHAEL FISHER BECAME PRESIDENT AND CEO OF CHMC. Compensation Committee Philosophy: The Compensation Committee (the "Committee") may be comprised of Trustee and Non Trustee members. The Committee is charged with responsibility for review, approval, and oversight of all of the items of COMPEnsation that impact senior management, middle management, and faculty. The Committee establishes Cincinnati Children's compensation philosophy BY utilizing the following fundamental concepts in determining compensation strategy and objectives: 1. Cincinnati Children's compensation is linked to an employee's performance and his or her achievement of Cincinnati Children's mission; 2. CINcinnati Children's total compensation must remain competitive within, and responsive to, the various regional, national, and international markets which enables it to attract and retain senior management, Middle management and faculty with the talent and expertise necessary for it to carry out its mission and to be an international leader in pediatric health care, research and education; specific detailed attention is given to relevant comparative compensation data from entities of comparable size, complexity, and global reputation; 3. Cincinnati Children's utilizes external, independent experts to assist in ensuring a complete understanding of all relevant markets; and 4. CIncinnati Children's compensation must not result in private inurement. In addition to base salary, key members of senior and middle management are eligible for annual incentive compensation. Annual incentive compensation is calculated as a percentage of base salary and is based on achieving certain operational, quality, patient safety, financial and other performance targets that are established on both an organizational and individual level. These performance targets are reviewed and approved by the Compensation Committee on an annual basis. HAMILTON COUNTY OHIO 316000063 407272M26 2004-06-30 98249356 RESEARCH BUILDING 0 0 COUNTY OF BUTLER OHIO 316000061 123550FJ9 2006-12-08 63541881 OUTPATIENT SATELLITE BLDG. 0 0 HAMILTON COUNTY OHIO 316000063 407272M34 2007-12-11 61230000 MEDICAL BUILDING & GARAGE 0 0 COUNTY OF BUTLER OHIO 316000061 123550FM2 2008-04-30 51950000 REPAY 2006L BONDS(12/8/2006) 0 0 counTY OF BUTLER OHIO 316000061 2009-12-17 30000000 REPAY 20080 BONDS(4/30/2008) 0 0 109390558 2249356 107141202 2007 0 0 1 1 65205028 1385093 63819935 2008 0 0 1 1 60636331 389866 60246465 2009 0 0 1 1 52351334 399995 2008 1 0 1 1 30000000 2010 1 0 1 1 0 0 0 1 0 0.00000 0.00000 0.00000 1 0 0 0 1 0 0.00000 0.00000 0.00000 1 0 0 0 1 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 1 AARON AZIZKHAN FAMILY MEM TRUST 33180 COMP & BEN 0 GERALYN AZIZKHAN FAMILY MEM TRUST 94116 COMP & BEN 0 BARBARA BOAT FAMILY MEM TRUST 153073 COMP & BEN 0 ANNE BOAT FAMILY MEM TRUST 426323 COMP & BEN 0 UNION CENTRAL LIFE INS CO DIRECTOR/OFFICER 230455 INS PREM 0 EMILY HIRSCHFELD FAMILY MEM TRUST 33751 COMP & BEN 0 X 31 334203 MEAN ON DATE OF TRANSFER 0 0 1 0 Form 990, Part VI, Section A, line 2 TOM CODY AND FELICIA WILLIAMS HAVE A BUSINESS RELATIONSHIP OUTSIDE OF CINCINNATI CHILDREN'S. Form 990, Part VI, Section A, line 2 JAMES ANDERSON AND MICHAEL CAMBRON HAVE A BUSINESS RELATIONSHIP OUTSIDE OF CINCINNATI CHILDREN'S. Form 990, Part VI, Section A, line 4 CHMC AMENDED ITS CODE OF REGULATIONS IN JUNE 2010 TO REVISE THE SECTION OF THE CODE ON BOARD COMMITTEES. Form 990, Part VI, Section A, line 6 ARTICLE I, SECTION 1.1. OF CINCINNATI CHILDREN'S AMENDED AND RESTATED CODE OF REGULATIONS PROVIDES THAT THE MEMBERSHIP OF CINCINNATI CHILDREN'S SHALL CONSIST OF THE PERSONS WHO ARE FROM TIME TO TIME, AND AT ANY GIVEN TIME, THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CHILDREN'S HOSPITAL. Form 990, Part VI, Section A, line 7a ARTICLE I, SECTION 1.1. OF CINCINNATI CHILDREN'S AMENDED AND RESTATED CODE OF REGULATIONS PROVIDES THAT THE MEMBERSHIP OF CINCINNATI CHILDREN'S SHALL CONSIST OF THE PERSONS WHO ARE FROM TIME TO TIME, AND AT ANY GIVEN TIME, THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CHILDREN'S HOSPITAL. Form 990, Part VI, Section B, line 11 THE FORM 990 IS PREPARED BY SENIOR MANAGEMENT FROM CINCINNATI CHILDREN'S. EXTERNAL TAX CONSULTANTS REVIEW THE FORM 990 FOR COMPLETENESS AND ACCURACY. THE FORM 990 IS THEN PRESENTED TO THE AUDIT & COMPLIANCE COMMITTEE, WHICH IS A STANDING COMMITTEE OF THE CINCINNATI CHILDREN'S BOARD OF TRUSTEES, FOR REVIEW. FINALLY, THE FORM 990 IS MADE AVAILABLE TO ALL BOARD OF TRUSTEES MEMBERS IN ADVANCE OF FILING. Form 990, Part VI, Section B, line 12c ALL OF CINCINNATI CHILDREN'S OFFICERS, TRUSTEES, AND KEY EMPLOYEES RECEIVE AN ANNUAL QUESTIONNAIRE REQUESTING INFORMATION REGARDING FAMILY AND BUSINESS RELATIONSHIPS THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST UNDER CINCINNATI CHILDREN'S WRITTEN CONFLICT OF INTEREST POLICY. ONCE THE QUESTIONNAIRES HAVE BEEN COMPLETED, THEY ARE REVIEWED BY CINCINNATI CHILDREN'S SENIOR MANAGEMENT AND IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, CINCINNATI CHILDREN'S FOLLOWS THE PROVISIONS SET FORTH IN ITS CONFLICT OF INTEREST POLICY TO RESOLVE THE CONFLICT AND DETERMINES THE APPROPRIATE REPORTING TO BOARD COMMITTEES AND, IF REQUIRED, FORM 990 DISCLOSURE. Form 990, Part VI, Section B, line 15 CINCINNATI CHILDREN'S HAS A COMPENSATION COMMITTEE THAT ANNUALLY REVIEWS THE RECOMMENDATIONS OF MANAGEMENT REGARDING EMPLOYEE PERFORMANCE EVALUATION AND COMPENSATION ADJUSTMENTS FOR DISQUALIFIED PERSONS TO ENSURE THAT IT HAS COMPLIED WITH THE PROVISIONS OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER IRC SEC. 4958. Form 990, Part VI, Section C, line 19 CINCINNATI CHILDREN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MAINTAINED ON FILE BY SENIOR MANAGEMENT AND ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST EITHER IN-PERSON, BY TELEPHONE, OR BY WRITTEN REQUEST. FORM 990, SCHEDULE K, PART II, LINE 5 ISSUANCE COSTS FROM PROCEEDS THE $2,249,356 REPORTED ON SCHEDULE K, PART II, LINE 5 COLUMN A CONSISTS OF $1,492,911 OF CREDIT ENHANCEMENT COSTS AND $756,445 OF BOND ISSUANCE COSTS. THE $1,385,093 REPORTED ON SCHEDULE K, PART II, LINE 5, COLUMN B CONSISTS OF $921,385 OF CREDIT ENHANCEMENT COSTS AND $463,708 OF BOND ISSUANCE COSTS. form 990, SCHEDULE K, PART III, LINE 3C BOND COUNSEL REVIEW WHILE CHMC DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW MANAGEMENT OR SERVICE CONTRACTS OR RESEARCH AGREEMENT RELATED TO BOND-FINANCED PROPERTY, CHMC REGULARLY CONSULTS WITH IN-HOUSE COUNSEL TO PERFORM AN INTERNAL ASSESSMENT OF MANAGEMENT AND SERVICE CONTRACTS AND RESEARCH AGREEMENTS RELATED TO BOND-FINANCED PROPERTY. FORM 990, SCHEDULE R TRANSACTIONS WITH RELATED ORGANIZATIONS CHMC PROVIDES VARIOUS RELATED ORGANIZATIONS WITH CERTAIN SHARED SERVICES AT NO CHARGE. FORM 990, PART III STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS AND COMMUNITY BENEFIT At Cincinnati Children's, our approach to community benefit is rooted in the belief that hospitals have a responsibility to improve the health and quality of life for children in the communities they serve. Part of this responsibility is serving as a medical safety net for children, regardless of their families' circumstance or ability to pay. Providing community benefit is one way in which we strive to meet that responsibility. Community benefit is defined as programs or activities that provide treatment, or promote health and healing, in response to identified community needs. To truly provide community benefit, these activities must meet at least one of the following objectives: * Improve access to health care * Enhance health of the community * Advance medical or health care knowledge * Relieve or reduce the burden of government or other community efforts We have pursued community benefit activities that help further these objectives because it is part and parcel of who we aim to be. Our vision states it best: "To be the leader in improving child health." Within our walls, there is evidence of our commitment to community benefit in our overall structure, our training of staff, and our participation in LOCAL, state, and national advocacy efforts. Our pediatric residency program instills exceptional clinical and research skills as well as a strong sense of advocacy for those less fortunate. Many of these young doctors stay on to work in this region after completing their studies. Although Cincinnati Children's began publicly reporting community benefit in 2004, we have a tradition of providing community benefit that dates back to the hospital's founding in 1883. Reporting these activities is our way of being accountable to the Greater Cincinnati community and of demonstrating the value and impact of our many community-based services and partnerships. According to the most recent 2009 comparative data published by the Goldman Sachs/Child Health Corporation of America CFO Survey, Cincinnati Children's complement of 525 registered inpatient beds (of which 478 are staffed) ranks as the SECOND largest among freestanding pediatric hospitals, while its emergency room, operating rooms and clinics ranked as among the nation's busiest in terms of the volume of patients served. Cincinnati Children's also operates 36 residential psychiatric beds (of which 33 are currently staffed) on its College Hill Campus. Additionally, according to the most recent 2009 information published by the National Institutes of Health ("NIH"), Cincinnati Children's ranked second in the nation among pediatric health care facilities in terms of NIH grant awards received. The growth rate of its NIH research funding over the last ten years has exceeded the growth rates of all other major pediatric hospitals. Cincinnati Children's has extensive educational programs and its graduate medical education program is the nation's fourth largest pediatric program. A majority of the pediatric healthcare professionals in its service area were trained by Cincinnati Children's. Cincinnati Children's has performed an analysis and quantification of its estimated benefit to the Community. A summary of this analysis is detailed below and is also provided on schedule h. The purpose of this document is to provide highlights of Cincinnati Children's activities in each of the areas. * Patient Care (net of tax levy and Ohio HCAP)(Note A): $163.5 million * Subsidized Health Services: $9.5 million * Research (Note B): $156.5 million * Medical Education: $42.9 million * Community Outreach: $4.6 million * Total Value of Community Benefits Provided: $377.0 million Note A: Charitable Patient Care ($163.5 million) - Free or discounted services for those unable to pay because they are poor or uninsured. The benefit amount includes the shortfall from Medicaid reimbursement based on the cost of providing care to Medicaid recipients (after accounting for support from Hamilton County Health and Hospitalization LEVy and the Hospital Care Assurance Program) and the loss from the cost of providing charity care. Note B: Research ($156.5 million) - In accordance with the 2009 Form 990, Schedule H instructions, grant revenue utilized to conduct research activities is not required to be reported as an offset to research expenditures when calculating other community benefits on Schedule H. If research funding was required to be counted as an offset to research expenditures, the net amount of community benefit related to research would be reduced to $13.8 million, and the total value of community benefits provided would be reduced to $234.3 million. Cincinnati Children's provides patient care to infants, children and adolescents. It serves as a tertiary level referral center for pediatric illnesses. During the fiscal year ended June 30, 2010, Cincinnati Children's admitted 15,297 patients who were associated with 85,600 patient days. In addition, Cincinnati Children's treated nearly 780,000 outpatient visits. Cincinnati Children's maintains one of the nation's busiest Emergency Departments. Over the past year, Cincinnati Children's handled nearly 125,000 emergency room visits. Likewise, Cincinnati Children's is the nation's leader in terms of pediatric surgical procedures. During fiscal 2010, Cincinnati Children's performed over 40,800 hours of surgery. Cincinnati Children's works to maintain the control of healthcare costs while preserving the quality of service and the availability for all pediatric/adolescent citizens. Cincinnati Children's hopes it will set an example for other organizations in the community and around the country to strive to work for the common healthcare cause. Cincinnati Children's is bringing together and addressing both the social needs of the community and the healthcare needs. Cincinnati Children's recognizes the need to team with the various social welfare agencies of the community. It is leading the movement in combining and addressing the community's total social well-being and emphasizing wellness and prevention instead of treating illnesses. In this manner, it encourages all community organizations to bind together to benefit the residents and not be hindered by the boundaries of the past. As with other not-for-profit organizations, Cincinnati Children's reinvests its net revenues to continuously improve its ability to provide quality healthcare. These resources allow Cincinnati Children's to maintain a renowned staff of medical professionals and provide state-of-the-art medical facilities and equipment. Cincinnati Children's makes significant investments in information technology, continuously striving to improve ITS business and clinical practices. The advanced technology allows physicians to bring timely and relevant information to the patient's bedside, making patient care safer and more efficient. Cincinnati Children's is accredited by the Joint Commission on Accreditation of Healthcare Organizations and is a member of the American Hospital Association, the Ohio Hospital Association, the Greater Cincinnati Hospital Council, The Association of Ohio Children's Hospitals, the Council of Teaching Hospitals and the National Association of Children's Hospitals and Related Institutions. In 2006, Cincinnati Children's received the American Hospital Association - McKesson Quest for Quality Prize for leadership and innovation in quality, safety and commitment to patient care. This prestigious award is presented annually to an organization that demonstrates commitment to achieving the Institute of Medicine's six quality aims: safety, patient-centeredness, effectiveness, efficiency, timeliness and equity. The winner is chosen by a multidisciplinary committee of health care and patient safety experts. Cincinnati Children's is the first pediatric hospital to win the McKesson Quest for Quality Prize. In 2010, Cincinnati Children's was again one of only EIGHT pediatric hospitals in the United States to be included on the Honor Roll in the 2010 U.S. News & World Report's annual "America's Best Hospitals" survey. The honor roll features only those hospitals ranked in all 10 specialties surveyed. CINCINNATI CHILDREN'S HAS BEEN RANKED IN THE TOP TEN FOR ALL PEDIATRIC SUBSPECIALTIES - A DISTINCTION SHARED BY FEW OTHER HOSPITALS. Cincinnati Children's is ranked as the best children's hospital in the nation for digestive disorders, other specialties and their rank include: * Cancer - 4 * Diabetes and Endocrine Disorders - 5 * Heart and Heart Surgery - 9 * Kidney Disorders - 3 * Neonatal Care - 3 * Neurology and Neurosurgery - 8 * Orthopedics - 5 * PULMONARY - 2 * Urology - 4 Consistent with its charitable mission, Cincinnati Children's maintains a policy of accepting all patients within its primary service area regardless of ability to pay. The primary service area includes the eight counties in southwestern Ohio, northern Kentucky, and southeastern Indiana that geographically surround Cincinnati. For the fiscal year ended June 30, 2010, Cincinnati Children's absorbed approximately $188 million of uncompensated charity care services as a result of this "open-door" charitable policy. In addition, due to a local property tax levy, Cincinnati Children's received $6 million of funding to help offset the cost of providing care to eligible Hamilton County residents. Under certain circumstances, Cincinnati Children's accepts patients from outside the primary service area without regard to their ability to pay. Cincinnati Children's defines indigent patient care as services rendered to patients whose families are unable to meet certain minimum income and/or net worth standards. As such, charges absorbed by Cincinnati Children's in rendering services to patients who are covered under governmental programs which are designed to aid low income families (primarily the Medicaid program) are considered indigent patient care. This policy applies to all inpatient, outpatient or emergency room services and to professional services performed by providers employed by Cincinnati Children's. In fiscal 2010, the loss on provision of charity care and Means-Tested government programs totaled approximately $163.5 million (after taking into account funds received under the Ohio Hospital Care Assurance Program of approximately $10.3 million). Cincinnati Children's participates in applicable government sponsored entitlement programs, serving thousands of patients covered by public programs such as Medicaid and Medicare. Medicaid and Medicare reimburse hospitals for healthcare services provided to eligible patients, but the payments do not cover the total cost of providing the service. For the year ended June 30, 2010, more than 43% of all Cincinnati Children's gross patient revenue was generated from patients whom were enrolled in various state Medicaid programs and Medicare. PATIENT CARE Cincinnati Children's currently owns and operates inpatient and outpatient facilities on its main campus, specially suited to the provision of state-of-the-art pediatric care. Cincinnati Children's has 525 registered inpatient beds, including 48 inpatient beds at its College Hill campus AND 12 BEDS AT THE LIBERTY CAMPUS, of which 478 are currently in service. It also has 36 registered residential psychiatric beds at its College Hill campus, of which 33 are currently in service. Its specialized facilities include a large pediatric intensive care complex consisting of a 56-bed neonatal intensive care unit for treatment of critically ill and premature newborns, a 35-bed pediatric intensive care unit for critically ill and injured children, and a 15-bed cardiac intensive care unit. In addition, Cincinnati Children's facilities include a 48-bed hematology/oncology/BMT unit for treatment of children with serious blood disorders, including bone marrow transplant services. Cincinnati Children's also operates a network of twelve outpatient care centers located throughout the primary service area. Cincinnati Children's opened its first outpatient facility in 1987 and has opened an additional 11 outpatient facilities in the last 10 years. Cincinnati Children's continues to invest in these facilities and expand the services offered in each location. Cincinnati Children's owns its Outpatient Liberty, MASON, AND OAK facilities and leases the other NINE locations. The services offered at these centers vary by location, but generally include diagnostic testing, pediatric specialty clinics, therapies and dental services. Three of the centers also offer urgent care services. Liberty, which opened in August 2008, also provides emergency room and surgical services. RESEARCH Children's Hospital Research Foundation (the "Research Foundation"), a division of Cincinnati Children's, conducts both basic science and clinically applied biomedical research in the areas of morphological pathology, molecular and cell biology, biological mechanisms of disease and the processes of normally functioning systems. During the year ended June 30, 2010, there were more than 830 active-sponsored research projects. The Research Foundation occupies APPROXIMATELY 28% of the available space of Cincinnati Children's and accounts for about 30% of the total annual operating budget. Additionally, according to the most recent information published by the National Institutes of Health ("NIH"), Cincinnati Children's ranked second in the nation among all pediatric health care facilities in terms of NIH grant awards received. The Research Foundation is a national leader in advancing fundamental science and medicine. With expanding research programs and new facilities, the Research Foundation is bringing the most advanced techniques and resources to the fight against childhood disease. The Division of Developmental Biology is growing, and is now one of the country's largest groups with 24 faculty researchers. The Division fosters collaborative research between clinical and basic scientists to translate new knowledge in to novel diagnostic and therapeutic approaches for care of children. Research in the new Division of Immunobiology focuses on improved treatments for asthma, new types of immune-suppressants for organ transplants, and more. The second major expense area for Cincinnati Children's is research. In fiscal year 2010, it devoted approximately 30 percent of its expenditures to supporting its research programs. Spending in this area attracts talented pediatric researchers; generates government, foundation, and industry funding; and leads to related new business development. A key factor in Cincinnati Children's ability to attract significant external funding, particularly from the National Institutes of Health (NIH), is that it spends its own resources to create "Centers of Excellence," with top researchers in specific areas of child medicine that will be attractive to outside funders. Further, through its Trustee's Grant Program, it provides seed money to researchers, with the expectation that they will later apply for external funding. In 1996, Cincinnati Children's set up the Office of Intellectual Property and Venture Development to ensure and oversee the commercialization of the inventions of the researchers at Cincinnati Children's. MEDICAL EDUCATION Cincinnati Children's is adjacent to the University of Cincinnati College of Medicine and serves as its Department of Pediatrics. Cincinnati Children's offers education and training in clinical residency programs, clinical and research fellowships and allied health sciences. All pediatrics specialties and subspecialties are represented on the Medical Staff. Cincinnati Children's also provides graduate medical education in Developmental Biology and Genetic Counseling and annually trains more than 315 physician residents and over 325 fellows. Cincinnati Children's has provided training for the majority of pediatricians practicing within its service area. Cincinnati Children's also provides clinical training in allied health sciences in Nursing, Respiratory Therapy, Radiologic Technology, Speech Pathology and Audiology. Cincinnati Children's graduate medical education program is the nation's fourth largest pediatric program. Cincinnati Children's costs of providing such training include the salary and training costs of interns and residents. In fiscal 2010, Cincinnati Children's provided nearly $64.7 million in medical education costs. Cincinnati Children's received approximately $11.8 million in funding from the Federal CHGME program in fiscal 2010 to help offset such costs. Additionally, Cincinnati Children's received approximately $8.5 million from State Medicaid and Medicare programs and grants to further assist in offsetting medical education costs in fiscal 2010. In fiscal 2010, Cincinnati Children's devoted approximately 4 percent of its expenditures to the education mission of the hospital. This money is used to provide graduate medical education for doctors, nurses, and other medical professionals. The Research Foundation offers research-based education options for scientists, often in conjunction with the University of Cincinnati. Students in these programs work with faculty experts in first-rate facilities. The programs include the Molecular and Developmental Biology Graduate Program, the Immunobiology Graduate Training Program, postdoctoral fellowships, MD/PhD postgraduate training, the Mentored Medical Student Clinical Research Program, the Summer Program for Medical Students, and the Summer Undergraduate Research Fellowship (SURF). The Research Foundation also sponsors a number of exceptional internal grant mechanisms to support PhDs, MDs, and MD/PhDs during their fellowship and especially during the transition to junior faculty positions with a focus on research. An active grant program funds translational research projects and there is an emphasis on development of early phase human trials in pediatric diseases based on discovery science performed. The Research Foundation has an outstanding track record in facilitating successful funding of individual training awards (K awards) for both MDs and PhDs and converting these awards to initial R01s. Cincinnati Children's long history of pediatric teaching spans more than 80 years, beginning in 1926. In the years since, Cincinnati Children's has trained more than 2,000 physicians and many nurses and other health professionals. Cincinnati Children's has been formally affiliated with the University of Cincinnati's College of Medicine and has served as the Department of Pediatrics for the College of Medicine since 1931, ensuring that teaching and related research would strengthen pediatric patient care. Cincinnati Children's and Cincinnati Children's employed staff of physicians and scientists hold academic appointments at the College of Medicine. Currently Cincinnati Children's is the fourth largest pediatric training facility in the United States, having 30 ACGME accredited fellowship programs and three ACGME fellowship programs where the accreditation is through the University of Cincinnati. Cincinnati Children's faculty is responsible for teaching the University's medical students during their pediatric rotations in the third and fourth years of training. In addition to graduate medical education, Cincinnati Children's also provides extensive training and education in the health sciences, including nursing, nutrition therapy, occupational and physical therapy, respiratory therapy, radiology technology, genetic counseling, speech pathology and audiology, child life and social work. COMMUNITY OUTREACH Cincinnati Children's and its staff participate in many community outreach programs. The following highlights some of the programs participated in, but should not be considered an all inclusive listing. Partner in Education with Rockdale Elementary School - Cincinnati Children's provides mentoring and offers on-site healthcare and health education programs to children in every grade level at Rockdale Elementary School. The center provides acute primary care services and focuses on prevention and classroom health as well as parent and teacher education. Child Abuse Team/Mayerson Center - The Mayerson Center for Safe and Healthy Children at Cincinnati Children's is committed to fighting and preventing child abuse and neglect. It combines the many activities at Cincinnati Children's that focus on child abuse into one coordinated effort. The Mayerson Center brings together community groups to collaborate with its own Child Abuse Team in the investigation and treatment of victims within the "advocacy center," a 7,200-square-foot facility. The Mayerson Center investigates six to seven alleged or suspected abuse cases of outside individuals every day. The Mayerson Center staff evaluates, treats and prevents child maltreatment. The staff consists of CINCINNATI police and HAMILTON COUNTY sheriff officers, Department of Human Services workers and a victim advocate from the Hamilton County prosecutor's office, along with Cincinnati Children's staff of physicians, nurses and social workers. It collaborates and expedites the diagnosis and investigation of child abuse allegations. Mandated agencies throughout the region also can utilize the center and its resources. The combined efforts within the Mayerson Center include state-of-the-art diagnostic, treatment, prevention and training programs and cutting-edge research in the field of child sexual abuse, child physical abuse, child neglect and parenting. Community Partners Program - The Aaron W. Perlman Center is committed to addressing the ongoing needs of children with disabilities during their school years - a greatly neglected population. The Community Partners Program offers support for children with physical disabilities as they are needed throughout their school years. Services include: * helping the family locate and access resources for needed equipment and/or services * helping the provider understand the child's/youth's physical needs and how to best include him or her * providing the child/youth with therapeutic support to address ongoing therapeutic needs, i.e., seating, mobility, communication and access problems not addressed by school therapists * collaborating with service providers and schools in the community to assist with major life transitions * linking children and families back to Cincinnati Children's for medical follow-up and management This program targets school-age children, ages 3 to 21 years, and their community providers. Other services include school support/consultation; evaluation of classroom access and equipment/technology needs; peer support; service coordination for parents; equipment acquisition; technical assistance; and occupational, physical and speech therapy support. Career Development Program - Project SEARCH, an innovative program at Cincinnati Children's that offers training and job opportunities to individuals with disabilities, also has developed a very successful career development program. Offered in collaboration with the Great Oaks Institute of Technology and Career Development, the program prepares adults, many of them welfare recipients, for careers as health unit coordinators, receptionists, certified nurse aides and patient care assistants. PROJECT SEARCH WAS AWARDED THE 2004 NEW FREEDOM INITIATIVE AWARD FROM THE UNITED STATES DEPARTMENT OF LABOR. THIS AWARD RECOGNIZES BUSINESSES AND INDIVIDUALS THAT HAVE DEMONSTRATED EXEMPLARY AND INNOVATIVE EFFORTS IN FURTHERING THE EMPLOYMENT AND WORKPLACE ENVIRONMENT FOR PEOPLE WITH DISABILITIES. COMPREHENSIVE Sickle Cell Center - Sickle cell anemia is an inherited disorder of hemoglobin, the protein that gives red blood cells their red color and carries oxygen to the tissues. With sickle cell anemia, the abnormal hemoglobin makes the usually round red blood cells rigid and distorted into sickle, or crescent shapes. At times, these stiff, crescent-shaped red blood cells can plug up small blood vessels and decrease blood flow to various parts of the body. This leads to anemia, unpredictable pain episodes, and sometimes other serious medical complications. The Sickle Cell Center through medical treatment, psychological evaluation, social services, education, counseling, research and working collaboratively with families, is dedicated to prolonging and improving the lives of patients. THE MULTIDISCIPLINARY TEAM PLAYS AN IMPORTANT ROLE BY HELPING PARENTS AND FAMILIES UNDERSTAND THEIR MEDICAL CONDITION AND BY GUIDING THEM TO HELPFUL COMMUNITY RESOURCES. Family Resource Center - The Family Resource Center staff offers the most current information in response to questions related to diagnoses, medical conditions or procedures. The Family Resource Center will conduct personalized searches for the following: * Information about conditions and diagnoses * Information about growth and development * Information about parenting issues * Information about childhood health, safety and well being * Support groups or parent-to-parent networks * Programs and workshops * Help in working with a child's school * Computer workstations * Parent Business Center * Setting up free, personalized web pages * Resources for the Hispanic community * Things to do in the Cincinnati area Parent-Infant Nurturing Group - Among the early intervention programs available to families is the Parent-Infant Nurturing Group Program (PING). The Hamilton County Board of Mental Retardation, OHIO'S HELP ME GROW AGENCY, and Developmental Disabilities supports the program. The Parent-Infant Nurturing Group PROVIDES DEVELOPMENTAL INSTRUCTION AND CONSULTATIVE THERAPY TO CHILDREN AGES BIRTH TO THREE YEARS THAT RESIDE IN HAMILTON COUNTY AND ARE FOUND TO BE ELIGIBLE DUE TO A MEDICALLY DIAGNOSED DISABILITY OR A DOCUMENTED DELAY IN ANY AREA OF DEVELOPMENT. The Parent-Infant Nurturing Group meets several times a week in a space designed to welcome child, parent and siblings. The program is based on a proactive, family-centered, empowerment model, which strengthens and supports the inherent competencies of the family. A family service plan is developed. The Parent-Infant Nurturing Group professional staff includes a special education early intervention specialist, a physical therapist, a speech therapist and a nutritionist. International Adoption Center - Cincinnati Children's provides specific help for internationally adopted children and their families and is one of only about a dozen centers in the United States. The staff is knowledgeable about the unique medical and social conditions of children from other countries, is skilled in managing infectious diseases and understands the developmental and psychological impact of institutionalization and sensory deprivation. The International Adoption Center at Cincinnati Children's is a member of the Joint Council on International Children's Services, an organization that advocates on behalf of children in need of permanent families and promotes ethical practices in intercountry adoption. Starshine Hospice Services - At Cincinnati Children's, the chaplain's role in StarShine Hospice is to help a person discover his or her own spiritual resources, which change from person to person and situation to situation. Any StarShine Hospice family requesting spiritual services will receive support from the chaplain and other staff. These services may include counseling, funeral planning and collaboration with the family's faith community. StarShine Hospice also provides the following special services: * Pain/Symptom Management * Massage Therapy * Child Life interventions with siblings * School visits * Bereavement Care * Memorials * Grief Care * Perinatal Hospice Family Support Network - The mission of the Family Support Network at Cincinnati Children's is to provide efficient, comprehensive care to support the quality of life for children with cancer, blood diseases, immuno deficiencies and their families. The Family Support Network consists of Specialists in the field of: * School intervention * Child Life * Holistic Health * Pastoral Care * Social Work * Financial Services Injury Free Coalition for Kids - Injury Free Coalition for Kids at Cincinnati Children's is a multi-disciplinary group composed of hospital personnel, residents and community leaders. The organization was formed in 2000 to prevent unintentional injuries among children living in at-risk neighborhoods through a variety of community-based interventions. The program is modeled after the national Injury Free Coalition for Kids started by Dr. Barbara Barlow at New York's Harlem Hospital in 1984. Cincinnati's Injury Free Coalition for Kids has combined Dr. Barlow's model of community partnerships and input from Avondale residents to produce the following plan to help reduce injuries to Avondale youth: * Educating parents and children about risky behaviors. * Changing the physical environment of the communities TO CREATE SAFER PLACES FOR CHILDREN TO PLAY. * Providing safe, structured out-of-school activities that revolve around sports, technology and cultural learning. Ride with Pride, Wear a Helmet - Cincinnati Children's and Bigg's sponsor the "Ride with Pride, Wear a Helmet" program throughout the Cincinnati and Northern Kentucky area. This bicycle helmet safety campaign is designed to decrease the number of bicycle-related head injuries among children by increasing the number of children wearing helmets. Safe Kids Coalition - In an effort to further injury prevention initiatives, Cincinnati Children's has become a member of the National Safe Kids Campaign and the lead organization of the Cincinnati Safe Kids Coalition. The mission of the National Safe Kids Campaign is to prevent unintentional injuries to children ages 14 and under from: * Motor vehicle crashes * Fires and scald burns * Pedestrian injuries * Poisoning and choking * Bike crashes * Unintentional shootings * Falls and drownings Founding sponsors of the National Safe Kids Campaign include Children's National Medical Center, in Washington, D.C., and Johnson & Johnson. The state and local coalitions carry out grassroots initiatives in support of the National Safe Kids Campaign. Coalition goals include: * Public education * Community programming * Safety product distribution * Legislation inaction * Media outreach * Local injury data collection * Local program evaluation Child Car Seat Safety - During the year, Trauma Services staff offers free car seat safety inspections throughout the community. During these inspections, staff members offer guidance on topics, including child safety seats and the law, choosing the right safety seat, correct safety seat installation and restraining your child in a safety seat. Safety Fair - The Cincinnati Children's Safety Fair is a free program provided to elementary schools within the Greater Cincinnati area. The Safety Fair is designed to educate young children, kindergarten through third grade, in a fun, yet effective atmosphere. The Safety Fair consists of five interactive stations which include burn prevention, pedestrian safety, seat belt safety, home safety and bicycle/helmet safety. THE CHILD POLICY RESEARCH CENTER (CPRC) WAS CREATED IN 1999 AND DEVELOPS, TRANSLATES, AND COMMUNICATES EVIDENCE TO MEASURABLY IMPROVE CHILD HEALTH AND WELL-BEING AND THE QUALITY OF HEALTHCARE FOR CHILDREN. OUR PARTNERS INCLUDE COMMUNITY, LOCAL, STATE, AND NATIONAL POLICY MAKERS, PROGRAM MANAGERS AND ADVOCATES. THE CENTER ADDRESSES THE MOST URGENT CHALLENGES FACING CHILDREN AND FAMILIES. Health Care Training Program - The Healthcare Training Program at Cincinnati Children's provides customized short-term training for adults with significant barriers to employment such as economic disadvantages or disabilities. The training program prepares students for two high-demand positions: * Health Unit Coordinator * State Tested Nurse Assistant William K. Schubert Minority Tuition Assistance Scholarship - This scholarship program is intended to encourage minority students to seek careers in health care and to eliminate barriers that prevent minority students from attending college. Awards are granted to graduating high school students who have been accepted into college. Drug & Poison Information Center (DPIC) - DPIC is a 24-hour emergency and technical information telephone service for anyone with concerns involving poison or drugs. The Cincinnati DPIC serves 38 counties with a population of 4.7 million. Blood Drives - Cincinnati Children's teams with Hoxworth for the employee blood drive. Participation in a Variety of Fundraising and Volunteer Opportunities - The following is a listing of some of the fundraising/volunteer opportunities to promote the health of children or raise money to further research on childhood diseases: * UNITED WAY CAMPAIGN * Cincinnati Walk for Kids (benefits Cincinnati Children's) * Kicks for Kids (benefiting Aaron W. Perlman Center) * Walk America (annual March of Dimes event to support research on birth defects and prematurity) * Cincy-Cinco - "Day of the Children" (benefits Su Casa Hispanic Ministries and other charities in the Tri-state area) * Walk to Cure Diabetes (benefits Juvenile Diabetes Research Foundation) * Heart Mini-Marathon (benefits the American Heart Association) * Walk the Walk (benefits the Division of Developmental Disorders) CHILD HEALTH ADMINISTRATIVE SERVICES LLC 3333 BURNET AVENUE CINCINNATI OH 45229 311550088 ADMINISTRATIVE SERVICES OH 2087949 558085 N/A CHILDREN'S FOR CHILDREN LLC 3333 BURNET AVENUE CINCINNATI OH 45229 311679363 DAYCARE FACILITY OH 1318353 0 N/A TSHCH LLC 3333 BURNET AVENUE CINCINNATI OH 45229 LAND HOLDING CO. OH N/A BURNET AVE LLC 3333 BURNET AVENUE CINCINNATI OH 45229 LAND HOLDING CO. 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